tools & resources

Private Health Insurance Exchanges: A Toolkit for Employers

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Rapid changes in the health care marketplace and new rules and requirements under the ACA have challenged employers to reassess their role in providing coverage to employees and their families. Reflecting this need, employers have shown significant interest in private exchanges. Private exchanges are marketplaces that offer a variety of health coverage options to participating employers' employees. They also take over many of the plan administration functions from employers, including enrollment and plan administration.

Many exchanges are multi-carrier, but some offer an array of options from a single carrier. Though early coverage options were exclusively insured products, more recent private exchange operators offer self-funded options. As the private exchange market evolves and responds to employer needs, employers can expect even more opportunities to customize solutions that meet their needs.

This toolkit is a guide for employers to help think about whether or not private exchanges fit into their health care strategy. Specifically, it provides an up-to-date picture of the current private exchange market, the legal framework for plan sponsors choosing private exchanges, a guide for considering private exchanges and what types of questions interested employers should be asking of private exchanges.


Section 1: Current Private Exchange Market

Chart — Latest Details on Private Exchanges Locked secured document — Updated February 17, 2017

Webinar Presentation: Private Health Exchange Case Study: Hallmark Cards - July 27, 2015
Webinar Recording Locked secured document

Webinar Presentation: Making the Move to a Private Exchange: The Mercer Marketplace and VCA Inc. Case Study Locked secured document — March 11, 2015

Webinar Presentation: Improving Employee Engagement and the Bottom Line Through a Private Exchange: Church & Dwight Case Study Locked secured document — November 7, 2014

Webinar Presentation: Private Health Exchange Case Study: Aramark Locked secured document — October 22, 2014

Webinar Presentation: Is a Private Exchange Right for Your Company and Active Employees? Locked secured document — August 19, 2014

Webinar Presentation: Pathway to Private Exchange: Walgreen's Own Prescription for Employer-Sponsored Health Care Locked secured document — December 16, 2013

Webinar Presentation: Buck Consultants: RightOpt: A New Dawn of Benefit Delivery: Leveraging Exchanges for Varying Populations Locked secured document — December 2, 2013

Webinar Presentation — Assessing the Current State of the Private Exchange Market Locked secured document — February 25, 2013


Section 2: ERISA and Legal Framework

Webinar Presentation: ERISA and the Legal Framework for Exchanges Locked secured document — March 14, 2013


Section 3: Corporate Health Care Strategies

Questions to Consider When Requesting Information from Private Exchanges Locked secured document — July 17, 2014

Webinar Presentation: Corporate Health Care Strategies in a Changing Environment: Advantages, Disadvantages, and Critical Issues of Three Approaches Locked secured document — March 21, 2013

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